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BurbankSherman OaksSouth pasadenabeverly hills

818-980-2020 • 866-2 See Far

Cataract Self Evaluation Test

  1. How interested are you in seeing at a distance, driving or playing golf without glasses after your cataract surgery?

  2. Are you interested in seeing well up close (reading) without glasses after your cataract surgery?

  3. If you had to wear glasses after your vision treatment for one of the following activities, which one would you most be willing to wear glasses for?

  4. If you could have good vision for driving during the day without glasses, and good near vision without glasses in most situations, would you be able to tolerate some halos and glare around lights at night?

  5. If you could have good distance vision day and night, and good vision for computer work, without glasses, would you be willing to wear glasses for reading fine print and small type?

  6. In our daily lives there are different things we do that require us to SEE at different distances. We have grouped some of these vision activities into 5 lifestyle zones. Think about the things in life you want to do the most without depending on glasses after cataract surgery. Which group is the most important

  7. Consider your personality. Based on the options scale below how would you rank your personality?

Burbank
2625 W. Alameda Ave., Suite 208
Burbank, CA. 91505
Phone: 818-845-3557
Fax: 818-845-1916

Sherman Oaks
13320 Riverside Drive, Suite 114
Sherman Oaks, CA. 91423
Phone: 818-501-3937
Fax: 818-980-0651

Beverly Hills
9100 Wilshire Blvd., Suite 852W
Beverly Hills, CA. 90212
Phone: 866-273-3327
Fax: 818-845-1916

South Pasadena
1936 Huntington Drive, Suite A
South Pasadena, CA 91030
Phone: 626-795-9793
Fax: 626-795-0121